BAZIN’S DISEASE

Erythema induratum, also known as nodular vasculitis or Bazin disease, is categorized as a tuberculid skin eruption, which is a group of skin conditions associated with an underlying or silent focus of tuberculosis (TB). They are sequelae of immunologic reactions to hematogenously dispersed antigenic components of Mycobacterium tuberculosis.  Other members of the tuberculid group include papulonecrotic tuberculid, lichen scrofulosorum, and vascular reactions caused by tuberculosis, namely, nodular tuberculid and nodular granulomatous phlebitis, all of which are distinct from erythema induratum. 

Predisposing factors include abnormal amount of subcutaneous fat, thick ankles and abnormally poor arterial supply. Abnormal arterial supply causes low-grade ischemia of ankle region. The ankle skin becomes sensitive to temperature changes. When weather is cold, ankle is cold, blue and often tender. In hot weather, ankle becomes hot, edematous, swollen and painful. Chilblains may be present. On palpation, small superficial and painful nodules are felt. They break down to form small and multiple ulcers. Fresh crops of nodules appear in periphery of ulcer and ultimately break down. In nodular stage, pain is present; while it subsides in ulcerative stage.

HOMOEOPATHIC MEDICINE

Homoeopathy today is a rapidly growing system and is being practiced all over the world. It strength lies in its evident effectiveness as it takes a holistic approach towards the sick individual through promotion of inner balance at mental, emotional, spiritual and physical levels. When is concerned there are many effective medicines available in Homoeopathy, but the selection depends upon the individuality of the patient, considering mental and physical symptoms

Few homoeopathic medicine can be thought of in the treatment of bazin’s disease are:

arsenic alb., secale cor., silicea, pyrogen, phytolacca, calcarea sulph, etc.